Judith T Simon, LCSW, DSC, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

069345 Issued in NY

Practice address

8 Simpson PL
Stony Brook, NY 11790-1760

Phone

(631) 751-2561

NPI assigned

Aug 2, 2005

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1407857261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 SIMPSON PL",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117901760",
            "telephone_number": "631-751-2561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 SIMPSON PL",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117901760",
            "telephone_number": "631-751-2561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMON",
        "first_name": "JUDITH",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "LCSW, DSC, MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-02",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "069345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Kapueonani Long Silva, PA-C
• Fred M Silverman, O.D.
• Mpepera Simango-Yiadom
• Georgia Mary Simchick, MD, MPH
• Andrea Simms, M.D.
• Michael Simon
• Eva Simpson-Abrams
• Alec Sinatro, MD
• Adam Singer, M.D.
• Daniel D Singer

• Clinical Social Worker in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.